Central Brace Company

NPI #1417962275 in Columbia, Missouri

Provider Information

NPI Number
1417962275
Entity Type
Organization
Organization Name
Central Brace Company
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jul 30, 2006
Last Updated
Sep 10, 2009

Practice Location

Address
404 PORTLAND ST
Address 2
REAR ENTRANCE EYE RESEARCH FOUNDATION
ZIP Code
65201-6506
Phone
(573) 874-0321

Authorized Official

Name
GERALD WESTON BENEDICT, B.O.C.O., C. PED.
Title
OWNER/PRESIDENT
Phone
(573) 874-0321

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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